Healthcare Provider Details

I. General information

NPI: 1992896575
Provider Name (Legal Business Name): THOMAS ALLAN JACH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 183RD ST
TINLEY PARK IL
60477-3932
US

IV. Provider business mailing address

7847 W HARVEST DR
FRANKFORT IL
60423-6805
US

V. Phone/Fax

Practice location:
  • Phone: 708-957-1400
  • Fax: 708-957-2800
Mailing address:
  • Phone: 815-355-7737
  • Fax: 708-957-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-005012
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: